Practice Quiz

CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

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A woman at 36 weeks of pregnancy (second gravida) developed severe pain in the lower abdomen associated with nausea. Which of the following is a possible cause? (Choose all that apply)
  1. Abruptio placenta
  2. Lung malignancy
  3. Normal fetal movement
  4. Torsion of the uterus
Explanation
Answer: A - Abruptio placenta and D. Uterine torsion

Abruptio placenta is a dangerous complication where the placental lining has separated from the uterus in the pregnant woman. Uterine torsion is a rotation of more than 45 degrees around the long axis of the uterus, and is also a complication of pregnancy.

Possible causes for the lower abdominal pain and nauseau of the above - described case include:
1. Premature labor pains
2. Abruptio placenta
3. Ruptured uterus
4. Torsion of the uterus
5. Preeclampsia
6. Eclampsia
7. Placenta previa
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